| NPI | 1659172427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 4559) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 4559) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |