| NPI | 1124322797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23518) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA PSY23518) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY23518) | |
| 103T00000X Psychologist (Licence: CA PSY23518) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY23518) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY23518) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY23518) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY23518) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY23518) | |
| 103TF0000X Psychologist Family (Licence: CA PSY23518) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY23518) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |