| NPI | 1558887182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29225) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61184763) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2025-02-10 |