| NPI | 1487218988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30419) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 005810) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2026-08-31 |