| NPI | 1609613082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34686) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-16 |