| NPI | 1255563029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY23201) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018122) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2010-08-03 |