| NPI | 1487879268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY9833) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY9833) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY9833) | |
| 103TF0000X Psychologist Family (Licence: CA PSY9833) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY9833) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |