| NPI | 1992347090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27155) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2046) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-02-01 |