| NPI | 1851793483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy34391) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11449-PY-PR) |
| 103TC0700X Psychologist, Clinical (Licence: MA 11449-PY-PR) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-06-25 |