| NPI | 1386777886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4160) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22900) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-05-21 |