| NPI | 1982027546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 13884) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 13884) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2021-11-23 |