| NPI | 1275349102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 94026263) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NA) | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |