| NPI | 1235576042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94023271) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Registered-2012481) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2017-05-12 |