NPI | 1437471190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 23080) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA PSY 23080) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2018-09-25 |