| NPI | 1437446945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy25232) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04849) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2013-02-21 |