| NPI | 1548402431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: CA PSY 20287) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 20287) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |