| NPI | 1487934956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004411) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24358) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2019-08-06 |