| NPI | 1083278923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY33080) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist (Licence: CA PSY33080) | |
| 103TC0700X Psychologist Clinical (Licence: CA 33080) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-04-29 |