| NPI | 1831460468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33134) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2023-12-27 |