| NPI | 1700256914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26514) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26514) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY26514) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-12-21 |