| NPI | 1578518965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 2714) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23329) |
| 103TC0700X Psychologist, Clinical (Licence: MO 2005005751) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-07-21 |