| NPI | 1558746628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29941) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY29941) |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY29941) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-04-16 |