| NPI | 1265567655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1308) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20025) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-07-08 |