| NPI | 1164662193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 17532) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 17532) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2018-09-21 |