| NPI | 1255688172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16947) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY1122) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2015-11-14 |