| NPI | 1780992305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2905) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24556) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2019-06-03 |