| NPI | 1154712669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33957) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 33957) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2026-07-13 |