| NPI | 1063901882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3482) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 31004) |
| 103T00000X Psychologist (Licence: CA 31004) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-10-04 |