| NPI | 1598955072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21878) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 21878) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB29849) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-06-27 |