| NPI | 1134176175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 11397) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: CA PSY 11397) |
| 103T00000X Psychologist (Licence: CA PSY 11397) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 11397) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 11397) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |