| NPI | 1104143197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24249) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 24249) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2025-12-18 |