NPI | 1891989612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25052) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25052) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2013-07-24 |