NPI | 1801210158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY32685) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY32685) |
103G00000X Clinical Neuropsychologist | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32685) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY32685) | |
Enumeration Date | 2014-02-06 |
Last Update Date | 2024-12-27 |