| NPI | 1427127851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20297) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32732) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-04-22 |