| NPI | 1578591863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20240) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY20240) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY 003657) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY 003657) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20240) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY 003657) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-11-27 |