| NPI | 1346336286 |
|---|---|
| Former Name | BETH VICTORIA SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6534) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY16328) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-06-13 |