| NPI | 1851561153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21609) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048.0134754TELE) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY0005767) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 025561) | |
| 103TC0700X Psychologist, Clinical (Licence: FL 287) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2023-04-18 |