| NPI | 1063410397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 17994) |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-08 |