| NPI | 1184934911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29151) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSB34264) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-03-17 |