| NPI | 1013244409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MMH 10089) |
| 103G00000X Clinical Neuropsychologist (Licence: NV 32289) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2025-03-14 |