| NPI | 1154911956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY-32096) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY-5432) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-03-12 |