| NPI | 1215952759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY15181) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15181) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-10-05 |