| NPI | 1639623127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 28460) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 28460) |
| 103TF0000X Psychologist Family (Licence: CA PSY 28460) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 28460) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-05-30 |