| NPI | 1417154824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY27424) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY27424) |
| 103TF0000X Psychologist, Family (Licence: CA PSY27424) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-06-30 |