| NPI | 1679824668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31644) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2021-12-23 |