NPI | 1871159723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31095) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY31095) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY31095) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY31095) | |
Enumeration Date | 2019-05-16 |
Last Update Date | 2021-07-22 |