| NPI | 1114473907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31226) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-02-01 |