| NPI | 1962054999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CA Psy11624) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy11624) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |