| NPI | 1518479146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3653) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29158) |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2023-11-28 |