| NPI | 1477925253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32615) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3481) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-09-09 |