| NPI | 1629553920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31343) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31343) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 31343) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-07-15 |