| NPI | 1326326810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 19878) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: CA PSY 19878) |
| 103TC1900X Psychologist Counseling (Licence: CA PSY 19878) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 19878) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 19878) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2013-02-08 |