| NPI | 1831591098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 31020) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WI 3291-57) |
| 103TC0700X Psychologist Clinical (Licence: CA 31020) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2020-01-17 |