| NPI | 1811005465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy19584) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy19584) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-05-19 |