| NPI | 1457156101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35741) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY005894) |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-04-02 |