| NPI | 1083287957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP3257) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |