| NPI | 1275091456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19737) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA PSY19737) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |