| NPI | 1629108188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY23993) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY23993) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-02-16 |