| NPI | 1720456148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC PP6771) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 35472) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2025-11-04 |