| NPI | 1013583251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94028291) |
| Additional Taxonomies | 247200000X Technician, Other |
| 251S00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-10-04 |