| NPI | 1992078356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 20691) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 20691) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: 20691) | |
| 103TF0000X Psychologist, Family (Licence: 20691) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |