| NPI | 1912383886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25934) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY25934) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25934) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-03-19 |