| NPI | 1821421009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB34360) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB33993) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |