| NPI | 1972973733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005113) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 27663) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2020-08-07 |