| NPI | 1760820187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 05698) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY29255) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2025-04-28 |