| NPI | 1346515913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10728) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10728) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY24497) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2023-06-28 |