| NPI | 1801908413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1709) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15072) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-06-25 |