NPI | 1982803557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23849) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23849) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2021-02-11 |