| NPI | 1184458473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005824) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY-36565) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2026-03-02 |