| NPI | 1396864377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17854) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY17854) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17854) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY17854) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-03-19 |