| NPI | 1619489697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34220) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004802) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2026-09-29 |