| NPI | 1619256443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 20565) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 20565) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2021-10-29 |