| NPI | 1639293434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY29668) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8612) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY29668) | |
| 103T00000X Psychologist (Licence: MA 8612) | |
| 103TH0100X Psychologist, Health Service (Licence: MA 8612) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MA 8612) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 8612) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 8612) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 8612) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-04-08 |