| NPI | 1659813681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12024) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30416) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-03-12 |