| NPI | 1699187906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 26374) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2025-02-18 |