| NPI | 1447373717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSY14195) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14195) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-05-13 |