| NPI | 1144453036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9747) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY18213) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2018-10-15 |