| NPI | 1386282762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 31409) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 31409) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 31409) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |