| NPI | 1770990806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31753) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: CA 06241) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-08-08 |