| NPI | 1932467354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28814) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY2012591) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-09-30 |