| NPI | 1679334262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30923) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 30923) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-07-22 |