| NPI | 1386728574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 25125) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY761) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-02-11 |