| NPI | 1861738940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25444) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 38738) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-04-30 |