| NPI | 1134493406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26276) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: TX 36101) |
| 103TC0700X Psychologist, Clinical (Licence: TX 36101) | |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2022-10-21 |