NPI | 1851773295 |
---|---|
Former Name | CATHERINE LOUISE PURDOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 26835) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26835) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2019-06-07 |