| NPI | 1780165860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY33385) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MN LP5976) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-10-06 |