NPI | 1699980664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY5674) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY5674) |
103TC0700X Psychologist, Clinical (Licence: CA PSY5674) | |
Enumeration Date | 2007-05-13 |
Last Update Date | 2007-07-08 |