| NPI | 1972669158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 001674) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 5309) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-11-13 |