| NPI | 1306220033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33092) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5106) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-04-13 |