| NPI | 1669921391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18704) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2629) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 0004727) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-09-11 |