| NPI | 1558027862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY14536) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY14536) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |