| NPI | 1790065282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY005314) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29146) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2021-01-15 |