| NPI | 1760691729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA MFC20789) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY15931) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |