| NPI | 1669669784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19910) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY 19910) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-10-29 |