| NPI | 1427435197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27014) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27014) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-05-18 |