| NPI | 1841968740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 17196) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY17196) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |