| NPI | 1518409374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37855) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29343) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2018-03-29 |