| NPI | 1528312725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36477) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22450) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2024-01-18 |