| NPI | 1255433850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 18118) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18118) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 18118) | |
| 103TC0700X Psychologist Clinical (Licence: CA PSY 18118) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CA PSY 18118) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-04-15 |