| NPI | 1306917422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9106) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17600) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2012-09-13 |