| NPI | 1639422009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26871) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY26871) |
| 103G00000X Clinical Neuropsychologist (Licence: AZ 4334) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 4334) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2015-03-13 |