| NPI | 1598807513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28967) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NH 1242) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-07-21 |