NPI | 1710249313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24834) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 24834) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |