| NPI | 1871785188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23055) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23055) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 34712) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-04-08 |