| NPI | 1013295625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5710) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22662) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2021-02-15 |