| NPI | 1457631830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 31267) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31267) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-06-30 |