| NPI | 1477073062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29199) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY29199) |
| 103T00000X Psychologist (Licence: CA PSY29199) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY29199) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-05-09 |