| NPI | 1295802189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY5844) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY6790) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3205) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-09-26 |