| NPI | 1376851105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23525) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23525) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23525) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY23525) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY23525) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-10-19 |