| NPI | 1326068115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 14650) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14650) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-09-05 |