| NPI | 1922107416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29351) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ 3573) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-05-03 |