| NPI | 1609613082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY34686) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-03-13 |