| NPI | 1902208580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26557) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37606) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2019-04-03 |