| NPI | 1437867769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY24992) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 24992) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-08-09 |