| NPI | 1578864203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 22517) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY 22517) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |