| NPI | 1023420742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29628) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2017-12-14 |