| NPI | 1205056181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 26246) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY7140) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-03-03 |