| NPI | 1033388327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25657) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042130A) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2016-07-31 |