| NPI | 1447874672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32033) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32033) |
| 103TC0700X Psychologist, Clinical (Licence: NY 020463) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-04-29 |