| NPI | 1316197130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 17777) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 1975-057) |
| 103G00000X Clinical Neuropsychologist (Licence: MA 7083) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA 17777) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: WI 1975-057) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: MA 7083) | |
| 103TC0700X Psychologist Clinical (Licence: CA 17777) | |
| 103TC0700X Psychologist Clinical (Licence: WI 1975-057) | |
| 103TC0700X Psychologist Clinical (Licence: MA 7083) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |