| NPI | 1942500491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY#23379) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC PSY#1046) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-04 |