| NPI | 1427207018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY12494) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY12494) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY12494) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |