| NPI | 1477628923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19346) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY19346) |
| 103TR0400X Psychologist Rehabilitation (Licence: CA PSY19346) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |