| NPI | 1790997559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17633) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY202271) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |