| NPI | 1215263124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY22838) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22838) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2019-05-01 |