| NPI | 1689744005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20310) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY20310) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-01-14 |