NPI | 1811037468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY14863) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY14863) |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY14863) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2011-11-03 |