| 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 |