| NPI | 1578656864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003672) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17171) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-08-23 |