| NPI | 1326566019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94025941) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB94025941) |
| 1041C0700X Social Worker, Clinical (Licence: CA 107331) | |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2025-10-01 |