| NPI | 1083775431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY363) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20533) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-09-18 |