| NPI | 1912243791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 25264) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY 25264) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 25264) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY 25264) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 25264) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 25264) | |
| 102L00000X Psychoanalyst (Licence: CA PSY 25264) | |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2015-03-26 |