| NPI | 1316379704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3457) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29708) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2022-04-20 |