| NPI | 1538568134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30541) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 30541) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-06-16 |