| NPI | 1053445460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10519) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA PSY10519) |
| 103T00000X Psychologist (Licence: CA PSY10519) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-04-13 |