| NPI | 1013300102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28135) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 61153401) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2026-08-13 |