| NPI | 1669765590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY29189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006131) |
| 103G00000X Clinical Neuropsychologist (Licence: CA psy29189) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY29189) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY29189) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-05-05 |