| NPI | 1437312097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY64668) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy23787) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY23787) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2025-05-08 |