| NPI | 1467790436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24737) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY 825) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |