| NPI | 1235276098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21143) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6640) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |