| NPI | 1487139119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2184) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31391) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-07-17 |