| NPI | 1124137161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 35834) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY6684) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-05-29 |