| NPI | 1457669913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27478) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37512) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2020-12-30 |