| NPI | 1538402151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25641) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 25641) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 25641) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-02-15 |