| NPI | 1255369310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20112) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY20112) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY20112) | |
| 103T00000X Psychologist (Licence: CA PSY20112) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 20112) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-01-14 |