| NPI | 1891296760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29300) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY29300) |
| 103T00000X Psychologist (Licence: CA PSY29300) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY29300) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-01-20 |