| NPI | 1912495359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29773) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 29773) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-10-23 |