| NPI | 1629096888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-737) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 16084) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-01-03 |