| NPI | 1407722648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36233) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 36233) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 36233) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 36233) | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-28 |