| NPI | 1194412544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSB94027342) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB9402732) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |