| NPI | 1275011900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019461) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24930) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-10-16 |