| NPI | 1982987723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 25773) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC0700X Psychologist, Clinical (Licence: CA 25773) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 25773) | |
| 103TF0200X Psychologist, Forensic (Licence: CA 25773) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA 25773) | |
| 103T00000X Psychologist (Licence: CA 25773) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 25773) | |
| 103TH0004X Psychologist, Health (Licence: CA 25773) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2013-10-02 |