| NPI | 1760053136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35995) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV 1300) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2026-02-26 |