| NPI | 1902073398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY14680) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV 1098) |
| 103TC0700X Psychologist, Clinical (Licence: OR 3492) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-06-21 |