| NPI | 1306032982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy29061) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS T-LP 2099) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA B7715996) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-11-15 |