| NPI | 1942949581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33412) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005519) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-14 |