| NPI | 1871723965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 24502) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40733) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2025-07-10 |