| NPI | 1659536084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15164) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA PPS-School Psych) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2013-01-03 |