| NPI | 1578515730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 18026) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY18026) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY18026) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-09-21 |