| NPI | 1073642138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy20639) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 20639) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY20639) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20639) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY20639) | |
| 103T00000X Psychologist (Licence: CA PSY20639) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-10-06 |