| NPI | 1659806123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28558) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 36697) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-12-07 |