| NPI | 1285623546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY9695) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY9695) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY9695) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2018-01-10 |