| NPI | 1528410214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34227) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV 1158) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2025-07-28 |