| NPI | 1396882957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33234) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psb32580) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-10-02 |