| NPI | 1083948046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22784) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY22784) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY22784) | |
| 103TF0000X Psychologist Family (Licence: CA PSY22784) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY22784) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-06-03 |