| NPI | 1821611195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 03194) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 33755) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-01-10 |