NPI | 1992026702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23459) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23459) |
103TC0700X Psychologist, Clinical (Licence: CA PSY23459) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2011-08-12 |