| NPI | 1457653644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 23825) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 23825) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 23825) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA 23825) | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2012-08-02 |