NPI | 1639527864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94027463) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2016-05-27 |
Last Update Date | 2023-12-05 |