| NPI | 1295340388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 34626) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA 11412) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-10-30 |