NPI | 1831312032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18574) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 18574) |
103TH0100X Psychologist, Health Service (Licence: CA PSY 18574) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY 18574) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-03-27 |