NPI | 1952416190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16629) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY16629) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA psy1662) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2025-03-25 |