| NPI | 1316502925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30497) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY30497) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |