| NPI | 1831163716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 14245) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 2887) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-02-04 |