| NPI | 1568091791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40574) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34289) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY34289) | |
| 103T00000X Psychologist (Licence: CA PSY34289) | |
| 103T00000X Psychologist (Licence: TX 40574) | |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: NC 6256) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-03-11 |