| NPI | 1841414125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15484) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY15484) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY15484) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-01-26 |