| NPI | 1093957029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21357) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 21357) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-08-25 |