| NPI | 1487329876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 34449) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 34449) |
| 103TS0200X Psychologist School (Licence: CA 34449) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2024-03-11 |