| NPI | 1598984585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008130) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18715) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-10-08 |