| NPI | 1649481250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PS11121A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY11121) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-11-11 |