| NPI | 1649638925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29187) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29187) |
| 103TC0700X Psychologist, Clinical (Licence: CA 2012640) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-10-03 |