| NPI | 1851788962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 27383) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-07-19 |