| NPI | 1932332012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 10389140-2501) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY26093) |
| 103TC0700X Psychologist Clinical (Licence: FL PY8969) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-11-10 |