| NPI | 1306023130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2824) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 19395) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2023-09-05 |