| NPI | 1215448709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37578) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY36357) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2026-02-04 |