| NPI | 1841918505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 4650) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-10-10 |