| NPI | 1376566190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy 17628) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 17628) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY17628) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-05-18 |