| NPI | 1831427293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 21870) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA PSY21870) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2019-02-13 |