| NPI | 1073825394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3681) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22525) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-12-03 |