| NPI | 1861879553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27162) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27162) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY27162) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: PSY27162) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY27162) | |
| 103TF0000X Psychologist Family (Licence: CA PSY27162) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY27162) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY27162) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |