| NPI | 1528249091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 5359) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY 5359) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |