| NPI | 1669103388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 33670) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-10-11 |