| NPI | 1396756383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY4408) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy4408) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-10-31 |