| NPI | 1750578712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY26322) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2017-01-20 |