| NPI | 1316070204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32576) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002748) |
| 103TC0700X Psychologist, Clinical (Licence: MA 8929) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60232876) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-08-22 |