| NPI | 1487740569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 18491) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 18491) |
| 103TC0700X Psychologist Clinical (Licence: CA 18491) | |
| 103TF0200X Psychologist Forensic (Licence: CA 18491) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |