| NPI | 1134294465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY13949) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY13949) |
| 103TC1900X Psychologist Counseling (Licence: CA PSY13949) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY13949) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY13949) | |
| 103T00000X Psychologist (Licence: CA PSY13949) | |
| 106H00000X Marriage & Family Therapist (Licence: CA PSY13949) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |