| NPI | 1750861852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY31362) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31362) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-04-28 |