| NPI | 1528101219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21859) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-08-18 |