| NPI | 1588921993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25428) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25428) |
| 103TF0000X Psychologist, Family (Licence: CA PSY25428) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY25428) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY25428) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY25428) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2014-10-22 |