| NPI | 1316199045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34186) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18735) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2011-08-22 |