| NPI | 1487334819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34529) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 121032) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-06-12 |