| NPI | 1659770139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PSY26330) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC0700X Psychologist Clinical (Licence: CA PSY26330) | |
| 103TC1900X Psychologist Counseling | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |