| NPI | 1194961243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30754) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3960) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2025-08-21 |