| NPI | 1336364066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1952) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY10331) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-05-29 |