| NPI | 1891835302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 18902) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 18902) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-07-13 |