| NPI | 1720442965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28008) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY28008) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-06-30 |