| NPI | 1932235256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22027) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22027) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22027) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-03-25 |