| NPI | 1740471192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY203136) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: ID PSY203136) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY21349) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY21349) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2023-09-11 |