| NPI | 1245805068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: CA 32663) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 32663) |
| 103TC0700X Psychologist Clinical (Licence: TX 39211) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-06-26 |