| NPI | 1699385294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31956) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31956) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 31956) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-21 |