| NPI | 1568532968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28594) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: HI PSY1845) |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY1845) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY28594) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-11-06 |