| NPI | 1023202710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33172) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3112-57) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017601) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2023-08-27 |