| NPI | 1790073013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 25889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60248859) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2017-04-13 |