| NPI | 1538777073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 32454) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-08-09 |