| NPI | 1801923396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 6690) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY 6690) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 6690) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |