| NPI | 1215311949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35187) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06045) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-04-14 |