NPI | 1780969683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 24173) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 24173) |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-12 |