| NPI | 1689013401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31235) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY31235) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2020-04-21 |