| NPI | 1821030818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 03642) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34664) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-11-27 |