| NPI | 1316528789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1693) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32123) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2022-04-06 |