| NPI | 1023563780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35964) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 119182) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2025-07-13 |