| NPI | 1982825865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3939) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 18853) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-08-17 |