| NPI | 1154875789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30721) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 94022754) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2025-09-16 |