| NPI | 1598226565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 36011) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS020478) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-07-31 |