| NPI | 1518814011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY36739) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 2089) |
| Enumeration Date | 2026-03-13 |
| Last Update Date | 2026-05-12 |