NPI | 1891892055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20113) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ND 334) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |