NPI | 1245448315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12010) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TF0000X Psychologist, Family | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2007-05-20 |
Last Update Date | 2023-02-08 |