| NPI | 1225216724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 26300) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA 26300) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2015-06-17 |