| NPI | 1821223389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32797) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TH0004X Psychologist, Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-09-13 |