| NPI | 1427429984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP03168) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34119) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2026-06-17 |