| NPI | 1538286430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004922) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17555) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-12-01 |