| NPI | 1427318252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 28638) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NV PY0646) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2016-11-29 |