| NPI | 1386058220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32242) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32242) |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY32242) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-01-22 |