| NPI | 1346399441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 21209) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CA PSY 21209) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 21209) | |
| 103TF0000X Psychologist Family (Licence: CA PSY 21209) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-05-15 |