| NPI | 1578683363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39051) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY19427) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-09-30 |