| NPI | 1518111590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202822) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY21372) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2015-12-30 |