| NPI | 1255275798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36687) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY36687) |
| 103G00000X Clinical Neuropsychologist (Licence: CA 36687) | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-08-20 |