| NPI | 1144745324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29269) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 29269) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-05-02 |