| NPI | 1376745448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2322) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 16678) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-08-18 |