| NPI | 1962888743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28113) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 28113) |
| 103TH0004X Psychologist Health (Licence: CA 28113) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2022-02-22 |