| NPI | 1316647027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34047) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY34047) |
| 103T00000X Psychologist (Licence: CA PSY34047) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-07-18 |