| NPI | 1609366210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 12929) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 12996862-2501) |
| 103TC0700X Psychologist, Clinical (Licence: CA 32761) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2026-05-06 |