| NPI | 1730558909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY12597) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-09-22 |