| NPI | 1093366270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32489) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IA 084778) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-08-02 |