| NPI | 1437487824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30853) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 5167) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2021-02-23 |