| NPI | 1295746279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY2694) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY2694) |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY2694) | |
| 103T00000X Psychologist (Licence: CA PSY2694) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY2694) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |