| NPI | 1508982224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39676) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23125) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-08-31 |