| NPI | 1548979263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35263) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94027211) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-08-19 |