| NPI | 1598871915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy 19137) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 19137) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-02-02 |