| NPI | 1265628820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26298) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017719) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 017719) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY26298) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-02-18 |