| NPI | 1740496918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 12043) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 1803) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-12-21 |