| NPI | 1922245174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14147) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 0005280) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |