| NPI | 1699977934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30796) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-03-10 |