| NPI | 1528617024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31976) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PSB94025002) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-07-03 |