| NPI | 1528259553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21511) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 21511) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-09-05 |