| NPI | 1457078487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29214) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MO 2016008719) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |