| NPI | 1447800842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30697) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 39697) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-03-15 |