| NPI | 1649359571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22946) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA NA) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-03-01 |