| NPI | 1346574969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY1006) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY17431) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |