| NPI | 1942355268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 13093) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY 13093) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY13093) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-03-15 |