| NPI | 1942258736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy18315) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA psy18315) |
| 103TC1900X Psychologist, Counseling (Licence: CA psy18315) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |