| NPI | 1952561326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31251) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 7941669-2501) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 1050) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-10-18 |