NPI | 1851736425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010103) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28386) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-08 |
Last Update Date | 2019-12-10 |