| NPI | 1023537925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6208) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 28292) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-10-11 |