| NPI | 1427279074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1033) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY19995) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-05 |