| NPI | 1326492026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32087) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 32087) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 32087) | |
| 103TH0004X Psychologist Health (Licence: CA 32087) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA 32087) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-09-27 |