| NPI | 1588643217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA CAPSY18954) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 18954) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-08-26 |