| NPI | 1497203103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28436) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 28436) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-07-22 |