| NPI | 1720238652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 2012643) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 2012643) |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2020-04-27 |