| NPI | 1932266582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA psy10527) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy10527) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: CA psy10527) | |
| 103T00000X Psychologist (Licence: CA psy10527) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |