| NPI | 1518406875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14946) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 14946) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2019-06-11 |