| NPI | 1528191699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014786) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY27847) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-11-30 |