| NPI | 1356892491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25857) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05027) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |