| NPI | 1487945366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30764) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2019-09-20 |