| NPI | 1467959759 |
|---|---|
| Former Name | WINNIE FONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 6345) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810007677) |
| 101YM0800X Counselor Mental Health (Licence: DC PSYA00208) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-03-28 |