| NPI | 1043707482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 34464) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IA 121197) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-08-02 |