| NPI | 1164638664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY-31640) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY-31640) |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY-31640) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-08-11 |