| NPI | 1477932614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 14700) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY 14700) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |