| NPI | 1457371924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 13613) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-12-05 |