| NPI | 1760403950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20546) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-07-15 |