| NPI | 1093787681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY16034) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY16034) |
| 103TF0200X Psychologist Forensic (Licence: CA PSY16034) | |
| 103TH0100X Psychologist Health Service (Licence: CA PSY16034) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-02-17 |