| NPI | 1912230921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY14176) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY14176) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |