| NPI | 1255984357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34499) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-11-02 |