NPI | 1922721489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 33619) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 33619) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2023-03-07 |