| NPI | 1801822036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA ps 9232) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PS9232) |
| 103TF0000X Psychologist, Family (Licence: CA PS9232) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-08-12 |