| NPI | 1649462235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 26748) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8960) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2015-02-17 |