| NPI | 1487797445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20470) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY20470) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20470) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY20470) | |
| 103T00000X Psychologist (Licence: CA PSY20470) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-09-11 |