| NPI | 1528541554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 31888) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31888) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-07-21 |