| NPI | 1134552169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 13152) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY0005340) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |