| NPI | 1801292974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY22300) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY22300) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY22300) | |
| 103TC0700X Psychologist Clinical (Licence: CA PSY22300) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |