| NPI | 1306565700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35256) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY005950) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-08-27 |