| NPI | 1407929672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY25312) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00759) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-02-26 |