| NPI | 1588117071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28503) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY1179) |
| 103T00000X Psychologist (Licence: NM PSY-2024-0040) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-06-27 |