| NPI | 1811184641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23853) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 060282014) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-07-22 |