| NPI | 1891783288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15679) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15679) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2015-07-30 |