| NPI | 1396498242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3965) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32558) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-05-23 |