| NPI | 1881802080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY18128) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY18128) |
| 103TC1900X Psychologist Counseling (Licence: CA PSY18128) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |