NPI | 1619102100 |
---|---|
Former Name | ELIZABETH PRESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 24603) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24603) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2023-09-07 |