| NPI | 1326469461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31539) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL TPPY1779) |
| 103TC0700X Psychologist, Clinical (Licence: NY 024887) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2025-11-03 |