| NPI | 1033139860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 16577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY 16577) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 16577) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 16577) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY 16577) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY 16577) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY 16577) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 16577) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-11-25 |