| NPI | 1205966405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24459) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY24459) |
| 103TC0700X Psychologist, Clinical (Licence: NY 019162) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-12-07 |