| NPI | 1558500553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY5593) |
| Additional Taxonomies | 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY5593) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2015-10-14 |