| NPI | 1205982139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6157) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY6157) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY6157) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY6157) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-06-02 |