| NPI | 1407173503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22046) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22046) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY22046) | |
| 103TH0100X Psychologist Health Service (Licence: CA PSY22046) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |