| NPI | 1649404484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22637) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22637) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |