| NPI | 1447454905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17987) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY17987) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY17987) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-06-02 |