| NPI | 1033474994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 2013042) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 2013042) |
| 103T00000X Psychologist | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: CA 2013042) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2022-04-29 |