| NPI | 1043334733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24752) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD MD2021) |
| 103TC0700X Psychologist, Clinical (Licence: VA VA1352) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY4655) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-06-18 |