| NPI | 1902146871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28462) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003855) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2018-12-21 |