| NPI | 1235277781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA CA PSY 17006) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 17006) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2018-10-25 |