| NPI | 1083080089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5899) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32132) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-12-23 |