| NPI | 1639473853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28564) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2024-05-15 |