| NPI | 1114046299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY17061) |
| Additional Taxonomies | 282E00000X (Licence: CA PSY17061) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |