| NPI | 1588125561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30564) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40378) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-04-17 |