| NPI | 1083951438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 24310) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24310) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2017-01-20 |