| NPI | 1174685911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27114) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 27114) |
| 103T00000X Psychologist (Licence: CA 27114) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-09-23 |