| NPI | 1679159818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA PSY32983) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: CA PSY32983) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-04-10 |