| NPI | 1225585581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5111-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34034) |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2025-05-02 |