| NPI | 1497873731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12070) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY12070) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-01-28 |