| NPI | 1083955975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3735) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24766) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2013-03-03 |