| NPI | 1619194347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22964) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY22964) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY22964) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY22964) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY22964) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-11-10 |