| NPI | 1235243981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY1307) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22501) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-08-13 |