| NPI | 1417554049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31840) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-01-26 |