| NPI | 1538381520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY3394) |
| 103TC0700X Psychologist, Clinical (Licence: VI 06-023-PSY) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-02-19 |