| NPI | 1265590202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17375) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17375) |
| 103TF0000X Psychologist, Family (Licence: CA PSY17375) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-03-08 |