| NPI | 1265842983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY19872) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY8570) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |