| NPI | 1093262768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11226) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY28195) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-01-17 |