| NPI | 1841500980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy23532) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA Psy23532) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy23532) | |
| 103TF0000X Psychologist, Family (Licence: CA psy23532) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |