| NPI | 1548637101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY11295) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY11295) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY11295) | |
| 103TS0200X Psychologist, School (Licence: CA PSY11295) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |