| NPI | 1619508249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31501) |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2022-11-04 |