| NPI | 1740471325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30816) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 4232) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-03-29 |