| NPI | 1073771317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 15927) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 15927) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 15927) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY 15927) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY 15927) | |
| 103TS0200X Psychologist School (Licence: CA PSY 15927) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-04-22 |