| NPI | 1366471484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016868) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY18504) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP4910) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-08-15 |