| NPI | 1942370838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA psy15334) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY15334) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy15334) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-02-20 |