| NPI | 1265803977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1493) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34514) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-05-02 |