| NPI | 1033792270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 34356) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34356) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-07-10 |