| NPI | 1629126081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2122) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17288) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-04-10 |