| NPI | 1386964054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7875) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21408) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |