| NPI | 1699403162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35563) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TS0200X Psychologist, School (Licence: CA 35563) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-11-11 |