| NPI | 1710496468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35201) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4315) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-07-24 |