| NPI | 1154316115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28595) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041623A) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2021-03-08 |