| NPI | 1568858884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27163) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 27163) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 27163) | |
| 103TF0000X Psychologist, Family (Licence: CA 27163) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-09-24 |