| NPI | 1558515338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2166) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23456) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2022-05-23 |