| NPI | 1770691644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23535) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 23535) |
| 103TC0700X Psychologist, Clinical (Licence: TX 38862) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-04-19 |