| NPI | 1033326699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 2520) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 2520) |
| 103TE1100X Psychologist, Exercise & Sports (Licence: CA 2520) | |
| 103TF0000X Psychologist, Family (Licence: CA 2520) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 2520) | |
| 103TS0200X Psychologist, School (Licence: CA 2520) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-05-13 |