| NPI | 1083692016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY0003787) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY1743) |
| 103T00000X Psychologist (Licence: CA PSY15760) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY61187351) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY15760) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-06-17 |