| NPI | 1548453004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1509) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY25983) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2020-12-17 |