| NPI | 1578618633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15307) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15307) |
| 103TC0700X Psychologist, Clinical (Licence: ID PSY203467) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-11-10 |