| NPI | 1891856571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy20193) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY5000163) |
| 103TC0700X Psychologist, Clinical (Licence: NC 3202) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-12-02 |