| NPI | 1184999534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 23501) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 23501) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY 23501) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY 23501) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY 23501) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 23501) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2015-06-03 |