| NPI | 1023361391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27871) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3068) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-07-15 |