| NPI | 1164694774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 20679) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY 20679) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 20679) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY 20679) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 20679) | |
| 103TH0004X Psychologist Health (Licence: CA PSY 20679) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY 20679) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 20679) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CA PSY 20679) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY 20679) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2025-07-30 |