| NPI | 1295190361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27560) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 27560) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 27560) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |