| NPI | 1487392148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 5005) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3656) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |