| NPI | 1558986331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06577) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31194) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-02-03 |