| NPI | 1427592260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 103248) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 28852) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-12-19 |