| NPI | 1659513422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2490) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 23982) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2026-04-04 |