| NPI | 1932451804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA AK602 CA4869) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA AK602 CA4869) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |