| NPI | 1336176239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 16330) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA 16330) |
| 103TC0700X Psychologist Clinical (Licence: CA 16330) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-12-22 |