| NPI | 1225195159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1278) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 19869) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-09-25 |