| NPI | 1417122128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 20815) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 20815) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 20815) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2010-03-01 |