| NPI | 1619370269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1432) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 26603) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2016-02-02 |