| NPI | 1871228999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33883) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 94025642) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-07-01 |