| NPI | 1184967226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy17455) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6289) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 6289) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy17455) | |
| 103TF0200X Psychologist, Forensic (Licence: CA Psy17455) | |
| 103TF0200X Psychologist, Forensic (Licence: NC 6289) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-12-29 |