| NPI | 1699101550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30278) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30278) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY30278) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2024-07-16 |