| NPI | 1265704894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24565) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 24565) |
| 103T00000X Psychologist (Licence: CA 24565) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-01-08 |