| NPI | 1285904235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28432) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2022-12-27 |