NPI | 1770248809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31592) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31592) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2023-03-14 |