| NPI | 1871460840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY35684) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35684) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-11-23 |