| NPI | 1508127994 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy27936)  | 
| Additional Taxonomies | 103TF0200X Psychologist, Forensic | 
| Enumeration Date | 2012-06-03 | 
| Last Update Date | 2024-07-17 |