| NPI | 1235370354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20888) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY20888) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20888) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2014-02-28 |