| NPI | 1962521963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 14203) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 14203) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 14203) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 14203) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY 14203) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 14203) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 14203) | |
| 104100000X Social Worker (Licence: CA LCS 8507) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS 8507) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |