| NPI | 1689694820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 12514) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY 12514) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY 12514) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-08-03 |