| NPI | 1376827519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38405) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28641) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2020-10-01 |