| NPI | 1962588921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19728) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy 19728) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-08-08 |