| NPI | 1629353578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94020485) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 94020485) |
| 103TF0200X Psychologist, Forensic (Licence: CA 94020485) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 94020485) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 94020485) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 94020485) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2015-01-30 |