| NPI | 1407134273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2341) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 005477) |
| 103TC0700X Psychologist, Clinical (Licence: CA 30930) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2023-09-21 |