| NPI | 1194207852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31699) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PS-T001083) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-09-02 |