| NPI | 1184134785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1774) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32533) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-11-15 |