| NPI | 1578186359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA PSY34183) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34183) |
| 103T00000X Psychologist (Licence: MD 06653) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-04-08 |