| NPI | 1194035725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY17487) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17487) |
| Enumeration Date | 2010-10-17 |
| Last Update Date | 2017-10-12 |