| NPI | 1700133725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY29639) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY29639) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY29639) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY29639) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY29639) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-12-12 |