| NPI | 1669166591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 34191) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-02-17 |