| NPI | 1801210158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY32685) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32685) |
| 103TF0000X Psychologist, Family (Licence: CA PSY32685) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY32685) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY32685) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-06-23 |