| NPI | 1346562006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23296) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23296) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2014-07-30 |