| NPI | 1699793828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy16325) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33757) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-09-20 |