| NPI | 1467583419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 35086) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19357) |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY19357) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-12-09 |