| NPI | 1881823045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY34430) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 34430) |
| 1041C0700X Social Worker, Clinical (Licence: CA 76389) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-11-04 |