| NPI | 1790153849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY29404) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY29404) | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2023-01-12 |