| NPI | 1912041484 |
|---|---|
| Former Name | FARIBA EBRAHIM KHAN KHEZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20295) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY20295) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY20295) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-12-02 |