| NPI | 1881008043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29357) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024328) |
| 103TC0700X Psychologist, Clinical (Licence: TX 40000) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-01-24 |