| NPI | 1245740364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31791) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 5996) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-11-27 |