| NPI | 1548563513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 7350) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY 7350) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |