| NPI | 1245400340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA psy9921) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy9921) |
| 103TC0700X Psychologist, Clinical (Licence: CA psy9921) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |