| NPI | 1063594349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1023) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY16471) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-10-16 |