| NPI | 1265782577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30845) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 61326773) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-11-15 |