| NPI | 1336352384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 13725) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 13725) |
| 103TC1900X Psychologist Counseling (Licence: CA 13725) | |
| 103TF0000X Psychologist Family (Licence: CA 13725) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-05-20 |