| NPI | 1861826612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY32771) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY32771) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY32771) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY32771) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY32771) | |
| 103TF0000X Psychologist Family (Licence: CA PSY32771) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY32771) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2024-05-08 |