| NPI | 1518285410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17869) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17869) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY17869) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |