| NPI | 1790915437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27030) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ID 202691) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2015-03-18 |