| NPI | 1043556947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29405) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60962668) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2024-12-16 |