| NPI | 1689245821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29463) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29463) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-10-10 |