| NPI | 1992338974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31618) |
| 103TC0700X Psychologist, Clinical (Licence: NC 6523) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2026-06-18 |