NPI | 1750521431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 20106) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 6123) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2010-09-20 |