| NPI | 1225230899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28252) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043406A) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-07-11 |