| NPI | 1407478738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3240) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31609) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2021-07-06 |