| NPI | 1891152492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12758) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |