| NPI | 1477383610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 3779) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 3779) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |