| NPI | 1942349535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0537) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 19774) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-09-24 |