| NPI | 1407304090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY30554) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30554) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2021-01-31 |