| NPI | 1033871207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY32545) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY32545) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY32545) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY32545) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY32545) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY32545) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-20 |