| NPI | 1801299094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 3207) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY26422) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2020-03-09 |