| NPI | 1407933005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY16970) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY16970) |
| 103TF0200X Psychologist Forensic (Licence: CA PSY16970) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY16970) | |
| 103T00000X Psychologist (Licence: CA PSY6970) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY16970) | |
| 103T00000X Psychologist (Licence: CA PSY16970) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT17040) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-12-02 |