| NPI | 1336401561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSY25412) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB36789) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2014-01-14 |