| NPI | 1710155189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy20227) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA psy20227) |
| 103TC0700X Psychologist, Clinical (Licence: CA psy20227) | |
| 103TC1900X Psychologist, Counseling (Licence: CA psy20227) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy20227) | |
| 103TF0000X Psychologist, Family (Licence: CA p) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA psy20227) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |