| NPI | 1184273955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 5965) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31157) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-08-02 |