| NPI | 1578993937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33155) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 11864229-2501) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY0005765) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-09-14 |