| NPI | 1205025152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 7091) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY 7091) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |