| NPI | 1760924849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28398) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28398) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2024-08-12 |