NPI | 1740806785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31642) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31642) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2022-10-30 |