| NPI | 1770720781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 22048) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: CA PSY 22048) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 22048) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-10-16 |