| NPI | 1417261769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23085) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY23085) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-09-07 |