| NPI | 1467830539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 33519) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33519) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 33519) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-02-10 |