| NPI | 1750656294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY-24469) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY-24469) |
| 103TF0200X Psychologist, Forensic | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2014-08-18 |