NPI | 1649506288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20393) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20393) |
Enumeration Date | 2009-11-01 |
Last Update Date | 2021-11-22 |