| NPI | 1528142148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY21150) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21150) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-03-24 |