| NPI | 1033206701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26465) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 31736) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-02-28 |