| NPI | 1861860223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 28994) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-06-22 |