| NPI | 1306861505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 14402) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103T00000X Psychologist (Licence: CA PSY 14402) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |