| NPI | 1366607012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22022) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22022) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2017-02-13 |