| NPI | 1790858421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 24085) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MA 4604) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 24085) | |
| 103TC0700X Psychologist Clinical (Licence: NY 021395) | |
| 103TC0700X Psychologist Clinical (Licence: UT 10834698-2501) | |
| 103TC0700X Psychologist Clinical (Licence: MA 4604) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-09-05 |