| NPI | 1134788730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30776) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30776) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-10-16 |