| NPI | 1740332139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 24631) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 7289) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-03-14 |