| NPI | 1093050874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35028) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3751) |
| 103TC0700X Psychologist, Clinical (Licence: HI psy1349) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2024-06-19 |