| NPI | 1750521431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 20106) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 6123) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2010-09-20 |