| NPI | 1306395181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY1015) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28614) |
| 103TH0004X Psychologist, Health (Licence: CA PSY28614) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY28614) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2021-10-28 |