| NPI | 1518438910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PY30921) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10221) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-11-12 |