| NPI | 1063757847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17586) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY17586) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY17586) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |