| NPI | 1699802843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36468) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY18108) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-10-18 |