| NPI | 1497998322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30076) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9465) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2023-08-01 |