| NPI | 1467549774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy11253) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY11253) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-01-29 |