| NPI | 1437252400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17050) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17050) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-04-28 |