| NPI | 1548272404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY14516) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14516) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY14516) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY14516) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: CA PSY14516) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY14516) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |