| NPI | 1225128002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 14119) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 14119) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY 14119) | |
| 103T00000X Psychologist (Licence: CA PSY 14119) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-06-09 |