| NPI | 1992299028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31960) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-004971) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-01-11 |