NPI | 1083845564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21252) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Enumeration Date | 2009-08-02 |
Last Update Date | 2023-04-19 |