| NPI | 1851470504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 20753) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TX 31110) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-06-30 |