| NPI | 1841503471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 27290) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27290) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2015-06-04 |