| NPI | 1013081504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy 21832) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 21832) |
| 103TF0000X Psychologist, Family (Licence: CA 21832) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-07-21 |