| NPI | 1194429357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31709) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV 1107) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |