| NPI | 1023885597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 122440) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34707) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |