| NPI | 1205975760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19762) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY19762) |
| 103T00000X Psychologist (Licence: CA PSY19762) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY19762) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-10 |