| NPI | 1548284656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1770) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY16258) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY00003389) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |