| NPI | 1316790991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 4294) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4294) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2025-07-18 |