| NPI | 1013925148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1867) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18300) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2017-12-26 |