NPI | 1720352099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: CA PSY28011) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2012-03-02 |
Last Update Date | 2017-02-09 |