| NPI | 1558382945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy7418) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy7418) |
| 103T00000X Psychologist (Licence: CA Psy7418) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-08-01 |