| NPI | 1356829196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34638) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 1202) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2025-02-26 |