| NPI | 1205246980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32073) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32073) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2022-09-08 |