| NPI | 1548391527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3801) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24846) |
| 103TC0700X Psychologist, Clinical (Licence: SC 1817) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-01-05 |