| NPI | 1346679404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 24783) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 24783) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 24783) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: CA PSY 24783) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY 24783) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY 24783) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY 24783) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |