| NPI | 1831932516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35536) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 13678529-2501) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2026-05-21 |