| NPI | 1699649533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 4299) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 4299) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA 4299) | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |