| NPI | 1275885253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 11935) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 11935) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA 11935) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 11935) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA 11935) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |