NPI | 1376398693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 4144) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 4144) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 4144) | |
103TS0200X Psychologist, School (Licence: CA 4144) | |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-04-19 |