| NPI | 1285133348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY31911) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31911) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY31911) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-04-29 |