| NPI | 1285003665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY33090) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY33090) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-01-09 |