| NPI | 1437308954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY24160) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY24160) |
| 103TF0000X Psychologist Family (Licence: CA PSY24160) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-08-10 |