| NPI | 1588916191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY17748) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY17748) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY17748) | |
| 103TS0200X Psychologist, School (Licence: CA PSY17748) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |