| NPI | 1740309525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA RPS2005098) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 22620) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 22620) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 22620) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 22620) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-06-27 |