| NPI | 1750535217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21487) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV 0554) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2022-02-11 |