| NPI | 1518050855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002085) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2018-12-04 |