NPI | 1669432589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20145) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20145) |
103TH0004X Psychologist, Health (Licence: CA PSY20145) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2024-07-01 |