| NPI | 1861878647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 35474) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 35474) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-12-09 |