| NPI | 1669523569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 18398) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202197) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-09-17 |