| NPI | 1093440943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94026750) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94026750) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-08-22 |