| NPI | 1396983748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 23705) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA PSY 23705) |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY23705) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY23705) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-02-27 |