NPI | 1932588720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY33684) |
Additional Taxonomies | 103T00000X Psychologist |
222Q00000X Developmental Therapist | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2022-10-19 |