| NPI | 1982993531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10770) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23172) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-10-01 |