| NPI | 1245423383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23242) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 23242) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-03-11 |