| NPI | 1538404165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV 0804) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22563) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2021-10-08 |