| NPI | 1124460290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35857) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000849) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000965) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-06-23 |