| NPI | 1609013119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17703) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 17703) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-05-02 |