| NPI | 1134447055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000777) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22804) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2013-06-25 |