| NPI | 1427441922 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist | 
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA 30734) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103T00000X Psychologist (Licence: CA 30734) | |
| Enumeration Date | 2015-03-09 | 
| Last Update Date | 2023-04-14 |