| NPI | 1205879574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy16130) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY16130) |
| 103T00000X Psychologist (Licence: CA PSY16130) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-01-26 |