| NPI | 1891151213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 27890) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 27890) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY 27890) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 27890) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 27890) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-11-22 |