| NPI | 1669136537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22106) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019686) |
| 103T00000X Psychologist (Licence: UT 8109380-2501) | |
| 103T00000X Psychologist (Licence: DC PSY10000763) | |
| 103T00000X Psychologist (Licence: DC PSY1000763) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-06 |