| NPI | 1497482558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35424) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39475) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-08-25 |