| NPI | 1114166568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22075) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22075) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 011964) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 011964) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY22075) | |
| 103TH0004X Psychologist, Health (Licence: NY 011964) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY22075) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2013-12-11 |