| NPI | 1881128288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005364) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29542) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-09-02 |