| NPI | 1760756621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33856) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 3283) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2023-06-30 |