| NPI | 1891855268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3052) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12908) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-03-20 |