| NPI | 1417188822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY13275) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 13275) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY 13275) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2012-09-14 |