| NPI | 1083032635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31209) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY31209) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY31209) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY31209) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY31209) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY31209) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-04-21 |