| NPI | 1225315906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24517) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY 24517) |
| 103T00000X Psychologist (Licence: CA PSY 24517) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2024-05-23 |