| NPI | 1275654816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 10371) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 10371) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 10371) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |