| NPI | 1306140827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35176) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-203118) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2024-12-30 |