| NPI | 1851544662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21722) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 3322) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |