| NPI | 1710931399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6590) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY6590) |
| 103TF0000X Psychologist, Family (Licence: CA PSY6590) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY6590) | |
| 103T00000X Psychologist (Licence: CA PSY6590) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-12-02 |