| NPI | 1942382973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY17364) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 17364) |
| 103TF0000X Psychologist Family (Licence: CA PSY 17364) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY 17364) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 17364) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-10-24 |