| NPI | 1992026702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23459) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23459) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY23459) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2011-08-12 |