| NPI | 1154819514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY29977) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29977) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-09-13 |