| NPI | 1023214624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy 14277) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14277) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-08-04 |