| NPI | 1275900250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 31806) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 31806) |
| 103TC0700X Psychologist Clinical (Licence: CA 31806) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-06-26 |