| NPI | 1932394459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24727) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY24727) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2015-06-30 |