| NPI | 1992960892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22382) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60317090) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2018-05-24 |