| NPI | 1669789194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 23714) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 23714) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA 23714) | |
| 103TH0004X Psychologist Health (Licence: CA 23714) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2011-01-10 |