| NPI | 1457564494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY11564) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY11564) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY11564) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY11564) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY11564) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY11564) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY11564) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY11564) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-07-20 |