| NPI | 1467783738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 20910) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 20910) |
| 103TF0000X Psychologist Family (Licence: CA PSY 20910) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2015-01-21 |