NPI | 1841423332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA PSY 24578) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 24578) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2013-07-15 |